HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 10 ANNIS STREET 9/27/2018 978-632-2662
Phone.- 978-632-2660 Fax*
JAMES A,, TRUDEAU
P. 0. Ix
Gardner,MA 0.1440
Notice of Ca&ua1jy,,,Loss
Under 1
Massachusetts General, Laws, Chapter 139, Section 3B
Septeni,ber2 ,2 18
1 d'ng 1.nspector
1.20.Main Street
BoardHealth
120 Main Street
North r MA 0 1,845
Fire Department
e
Dept. Races
2 Ma*111n Sees
Insured. Danielle Croteau
L o+ ss L a i * ! i� �I r,MA 01845
Insurance Company-."' kreferred, Mutual Insurance Co.
PolicyP1100,1007102721
Date of Lars wl
File Numbei: 18-16924
Claim Numbere
181214,30
Type of Doss: Property Damage
1
Claim his been made involving loss, damage, r destruction of the above caption d roper w 1 ay ither �
exceed $1,000.00 r cause"Mass. Gen.Laws ,,Chapter 143, Se 6"' ' applicable. If any notice under",Mass.
Gen. �° 1� �� appropriate, 1 � I � he ��r � and + l e referenceh
captioned insured, location, policy number, a loss, and file or clam;number.
Claim has been made involving loss, damage or destruction of the above-captioned property, whichmay
exceed '. I any �� i e derMassachusetts General Laws Chapter 175 A � 'opri *,a
please dir the attention of this writer and 'ncluda a reference to the above-captioned nsured,
location,policy,number,date of loss and claimnumbert
n this t ,, cause codes of this nofice to be sent to the erson liamed a1 the address, indicated by first
class mail.
w
James
A. Tr